PHANTOM SURGICAL SERVICES, LLC

LAKE OSWEGO, OR
NPI1134771074
Entity TypeOrganization
Authorized ContactBRENDA THIELE
Mdms Npi Compliance Officer
210-598-2800
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
PHANTOM SURGICAL SERVICES, LLC
333 S STATE ST. SUITE V216
LAKE OSWEGO, OR 97034-3948
Phone number: 971-256-3556
Mailing Address
PHANTOM SURGICAL SERVICES, LLC
333 S STATE ST. SUITE V216
LAKE OSWEGO, OR 97034-3948
Phone number:
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